low excretors either heterozygous or homozygous
for the dominantallele. Striking differences in the

incidence of high excretors in various populations
have been demonstrated, and it appears thatthis
genetic polymorphism may be of considerable
valug in anthropo-genetic investigations.*':??
As part of the study of the genetic relationships And origins of various Pacific peoples, this report extends observations on BAIB excretion to
the Micronesians inhabiting the Marshall Islands.
The fact that some of the Micronesians were exposed to considerable radiation in 1954 is of
special interest here, since it is known that radiation exposure can, temporarily at least, increase
BAIB excretion,”* and studies on the Marshallese

population may elucidate possible long-term effects.
Urine samples from 65 exposed and 119 unexposed people (75.7% of the populationofthe village) were collected in plastic bottles containing
thymol preservative. The sexes were equally represented, and the ages varied from 3 to >70 years.

In somecases several members of the same family
were included, and some kinships suitable for
genetic analysis were available. Eighteen samples
collected on Utirik were also studied. Urines were
kept at 4°C and shippedin refrigerated containers
to Seattle for analysis. These studies were carried
out by one of us (B.S. Blumberg) and Dr. S.A.
Gartler of the Department of Medicine, School of
Medicine, University of Washington. Studies were
completed 2 to 3 weeks after collection of the specimens. Determinations of BAIB werecarried out
by high voltage electrophoresis on paper,?‘ and
creatinine was determined bythe alkaline picrate
method.
Radionuclide Body Burden Evaluation

The methods used in the radionuclide body
burden evaluation are described later in a sepa-

rate section.

1960 Survey
BACKGROUND MATERIAL
The 1960 survey was reducedin size and scope
and limited to a very brief examination of the exposed people only. Several factors brought about
this change. The people had recoveredto the extent that certain special examinations previously

carried out every year need be doneonly once
every two to three years. In addition, as pointed
out before, the Trust Territory officials were concerned aboutthe slowness of economic recovery of
the Rongelapese andfelt that the numerous visiting scientific teams, particularly those with igrge
ships and crews, were partly responsible for the
unrest of the people and therefore requested that
the size of the surveys be kept'to a minimum,it
was decided to defer the gammaspectrogegphic
analysis until 1961. The Trust Territory officials
agreed to greater participation of their medical
personnelin future surveys andto the use of one
of their cargo ships (Figure 9), which routinely
madethe rounds ofthe islands for gathering copra, for carrying out the survey at Rongelap. Accordingly, for the 1960 survey the team consisted
of only one physician and onetechnician from
Brookhaven National Laboratory, and the re-

mainderof the medical group, arranged by the
Trust Territory, included its Director of Public

Health, two Marshallese medical officers, and two

Micronesian laboratory technicians. The Director

of Dental Services and oneofhis dental officers

also accompanied the team to carry out treatment
of the people. The District Administrator of the
Marshall Islands accompanied the team in order
to consult with the people on their agricultural
program.*
As in the previous year, several of the exposed
people now living at Kwajalein and Majurc «tolls
were examinedatthese atolls prior to the Rongelap visit.
PROCEDURES
As in previous surveys, examinations were
carried out in the dispensary and the schoolhouse
in Rongelapvillage. Interval medical histories and
complete physical examinations were carried out
*Again in 1960, when the team arrived at Rongelap, the magistrate requested a meeting with the people. The line of questions
and discussion was about the sameas that reported for the previous year. Resistance toward the examinations was expremed by
only one or two of the people. Objections were again raised
against the ban on eating coconut crabs, which selectively concenerate Sr** to such an extent that their consumption had to be
prohibited (Figure 4). The people were assured that these crabs
were being repeatedly examined and that, when it was safe to
eat them, immediate notification would be given. Fish poisoning
apparently had been less of a problem duringthe past year since
only one case had been noted, and the subject was not brought
up again. Following this meeting, cooperation by the people in
the examinations was almost complete.

‘ ioe

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